Provider Demographics
NPI:1144546821
Name:HUNT, MASON CHRISTOPHER (MD)
Entity type:Individual
Prefix:
First Name:MASON
Middle Name:CHRISTOPHER
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4140 W MEMORIAL RD
Mailing Address - Street 2:STE 408
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8300
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:301 FISHER STREET
Practice Address - Street 2:KEESLER MEDICAL CENTER DEPARTMENT OF GENERAL SURGERY
Practice Address - City:KEESLER AFB, BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39534-2519
Practice Address - Country:US
Practice Address - Phone:228-376-0425
Practice Address - Fax:228-376-0137
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-20
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME132959208600000X
390200000X
OK34692208600000X
FL171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty
No171000000XOther Service ProvidersMilitary Health Care ProviderGroup - Single Specialty